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12. The Impact of Virtual Reality Hypnosis on Pain and Anxiety Caused by Trauma: Lessons Learned from a Clinical Trial

Author

Wiechman, Shelley A., Jensen, Mark P., Sharar, Sam R., Barber, Jason K., Soltani, Maryam, and Patterson, David R.

Subjects
Complementary and Manual Therapy, Clinical Psychology, Virtual Reality, Humans, Pain, Pain Management, Anxiety, Article, Hypnosis
Abstract

This randomized, controlled trial tested the impact that hypnosis delivered through immersive virtual reality technology on background pain, anxiety, opioid use, and hospital length of stay in a sample of patients hospitalized for trauma. Participants were randomly assigned to receive either virtual-reality-induced hypnosis, virtual reality for distraction, or usual care during the course of their hospitalization. Mean number of treatment sessions was 3. A total of 153 patients participated in the study. Results indicated no significant differences between the experimental and control conditions on any outcome measures. This study used an early version of virtual reality technology to induce hypnosis and highlighted several important lessons about the challenges of implementation of this technology and how to improve its use in clinical settings.

Published
2022
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14. Rural Trauma: Is Trauma Designation Associated with Better Hospital Outcomes?

Author

Bowman, Stephen M., Zimmerman, Frederick J., and Sharar, Sam R.

Abstract

Context: While trauma designation has been associated with lower risk of death in large urban settings, relatively little attention has been given to this issue in small rural hospitals. Purpose: To examine factors related to in-hospital mortality and delayed transfer in small rural hospitals with and without trauma designation. Methods: Analysis of data from the Nationwide Inpatient Sample for discharges between 1998 and 2003 of patients hospitalized with moderate to major traumatic injury in nonfederal, short-stay rural hospitals with annual discharges of 1,500 or fewer patients (N = 9,590). Logistic regression was used to control for patient and hospital characteristics, stratifying by hospital volume. Main outcome measures were in-hospital death and transfer to another acute care facility after initial admission. Findings: A total of 333 patients (3.5%) died in-hospital. After adjusting for patient, injury and hospital characteristics, in-hospital death was more likely among patients treated at the non-designated hospitals with fewer than 500 discharges per year (OR 2.35; 95% CI 1.25-4.41) than among patients treated at similar trauma-designated hospitals. Patients admitted to non-designated hospitals were more likely to be transferred after admission, although this finding was significant only in the larger-volume hospitals with discharges of 500-1,500 per year (OR 1.41, 95% CI 1.08-1.83). Conclusions: Associations between trauma designation and outcomes in rural hospitals warrant further study to determine whether expanding designation to more rural hospitals might lead to further improvement in trauma outcomes.

Published
2008
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20. Mechanisms and Consequences of Leukocyte Adhesion

Author

Winn, Robert K., Sharar, Sam R., Mileski, William J., Rice, Charles L., Harlan, John M., Lipsky, Peter E., editor, Rothlein, Robert, editor, Kishimoto, Takashi Kei, editor, Faanes, Ronald B., editor, and Smith, C. Wayne, editor

Published
1993
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25. Hospital characteristics associated with the management of pediatric splenic injuries

Author

Bowman, Stephen M., Zimmerman, Fredrick J., Christakis, Dimitri A., Sharar, Sam R., and Martin, Diane P.

Subjects
Company business management, Children's hospitals -- Management, Lymphatic diseases -- Care and treatment, Children -- Diseases, Children -- Care and treatment
Abstract

A study is conducted to test the hypothesis that children are more likely to undergo splenectomy in general hospitals than in children's hospitals. Observations suggest that there is considerable variation in the management of pediatric splenic injuries, with significantly lower rates of splenectomy at designated children's hospitals.

Published
2005

26. Water-friendly virtual reality pain control during wound care

Author

Hoffman, Hunter G., Patterson, David R., Magula, Jeff, Carrougher, Gretchen J., Zeltzer, Karen, Dagadakis, Stephen, and Sharar, Sam R.

Subjects
Psychology and mental health
Abstract

Recent research suggests that entering an immersive virtual environment can serve as a powerful nonpharmacologic analgesic for severe burn pain. The present case study describes an attempt to use water-friendly virtual reality (VR) technology with a burn patient undergoing wound care in a hydrotherapy tub. The patient was a 40-year-old male with 19% total body surface area deep flame/flash burns to his legs, neck, back, and buttocks. The virtual reality treatment decreased the patient's sensory and affective pain ratings and decreased the amount of time spent thinking about his pain during wound care. We believe that VR analgesia works by drawing attention away from the wound care, leaving less attention available to process incoming pain signals. The water-friendly VR helmet dramatically increases the number of patients with severe burns that could potentially be treated with VR (see http://www.vrpain.com). Keywords: burn pain; virtual reality; pain management; analgesia; distraction

Published
2004

27. Burn Pain

Author

Wiechman, Shelley A., primary, Sharar, Sam R., additional, and Patterson, David R., additional

Published
2011
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28. Contributors

Author

Abdi, Salahadin, primary, Abrams, Bernard M., additional, Akhouri, Vimal, additional, Aldrete, J. Antonio, additional, Andrasik, Frank, additional, Adhikary, Sanjib Das, additional, Aniq, Hifz, additional, Asaad, Bassem, additional, Atluri, Sairam L., additional, Bajwa, Zahid H., additional, Ballas, Samir K., additional, Bankston, David P., additional, Baron, Ralf, additional, Binder, Andreas, additional, Bogduk, Nikolai, additional, Borenstein, David, additional, Boswell, Mark V., additional, Bove, Geoffrey M., additional, Braiteh, Fadi, additional, Bruera, Eduardo, additional, Burton, Allen, additional, Cady, Roger, additional, Campbell, Robert, additional, Candido, Kenneth D., additional, Chiang, Joseph S., additional, Childers, Martin K., additional, Chohan, Saima, additional, Conaghan, Philip G., additional, Correll, Darin J., additional, Cozad, Scott C., additional, Craig, Edward V., additional, Creamer, Paul, additional, Datta, Sukded, additional, Day, Miles R., additional, Deangelo, Debra Ann, additional, Deer, Timothy R., additional, Diamond, Seymour, additional, Dickenson, Anthony, additional, Donohoe, Charles D., additional, Savillion Eckmann, Maxim, additional, Evans, James J., additional, Falco, Frank J.E., additional, Farmer, Kathleen, additional, Fitzgerald, Colleen M., additional, Freitag, Frederick G., additional, Garcia, M. Kay, additional, Gloth, F. Michael, additional, Gordin, Vitaly, additional, Grabois, Martin, additional, Greenfield, Mark A., additional, Michael Guo, H., additional, Hainline, Brian, additional, Hall, Howard, additional, Hazleman, Brian L., additional, Heavner, James E., additional, Henshaw, D. Ross, additional, Hsu, Bernard H., additional, Igarashi, Takashi, additional, Janata, Jeffrey W., additional, Kapoor, Ravish, additional, Katz, Joel, additional, Kawaguchi, Yoshiharu, additional, Keating, Richard M., additional, Kidd, Bruce L., additional, Kidder, Katherine A., additional, King, Paul T., additional, Kormylo, Nicholas, additional, Koyyalagunta, Dhanalakshmi, additional, Landers, Milton H., additional, Lawson, Erin F., additional, Lema, Mark J., additional, Levin, Jennifer B., additional, Liu, John, additional, Lovrincevic, Mirjana, additional, Luo, Z. David, additional, Lyftogt, John A., additional, MacDonald, James A., additional, Malinowski, Mark N., additional, Manchikanti, Laxmaiah, additional, Mazloomdoost, Danesh, additional, McGuirk, Brian, additional, Melzack, Ronald, additional, Meyer, Jeffrey P., additional, Nissan, George R., additional, Pappas, John L., additional, Parris, Winston C.V., additional, Patel, Divya J., additional, Patt, Richard B., additional, Patterson, David R., additional, Perez-Toro, Marco R., additional, Petersen, David, additional, Quave, Brett T., additional, B. Racz, Gabor, additional, Raj, P. Prithvi, additional, Ramamurthy, Somayaji, additional, Ranson, Matthew T., additional, Reeves, K. Dean, additional, Reynolds, Lowell W., additional, Rime, Carla, additional, Rosenthal, Richard M., additional, Rupert, Matthew P., additional, Saberski, Lloyd R., additional, Schattschneider, Jörn, additional, Schrattenholzer, Thomas, additional, Schreiber, Curtis P., additional, Schultz, David M., additional, Scott, Jared, additional, Sekhadia, Mehul, additional, Sharar, Sam R., additional, Sial, Khuram A., additional, Sills, Shawn M., additional, Simon, Steven, additional, Simopoulos, Thomas T., additional, Singh, Vijay, additional, Solanki, Daneshvari, additional, Soto-Quijano, David A., additional, Sridhara, C.R., additional, Stanton-Hicks, Michael, additional, Stiles, M. Alan, additional, Supernaw, Robert B., additional, Swenson, Rand S., additional, Taylor, Victor M., additional, Treffer, Kevin D., additional, Trout, Robert, additional, Urban, George J., additional, Vinjamuri, Sobhan, additional, Waldman, Corey W., additional, Waldman, Howard J., additional, Waldman, Jennifer E., additional, Waldman, Steven D., additional, Wallace, Mark S., additional, Warfield, Carol A., additional, Whitworth, Michael L., additional, Wiechman, Shelley A., additional, Winnie, Alon P., additional, Wong, Cynthia A., additional, Yaksh, Tony L., additional, and Ybarra, Manuel, additional

Published
2011
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32. Contributors

Author

Ahmad, Imran, Alexander, Ronda E., Artime, Carlos A., Aziz, Michael F., Baker, Paul A., Ball, Christine M., Basañez, Irving, Beaman, Shawn T., Behringer, Elizabeth C., Bello, Jacqueline A., Benumof, Jonathan L., Berkow, Lauren C., Brambrink, Ansgar M., Braude, Darren Alan, Cameron, Staci D., Cattano, Davide, Cavallone, Laura F., Chi, T. Linda, Chrimes, Nicholas, Cohen, Edmond, Cohen, Neal H., Cook, Tim M., Cooper, Richard M., Diemunsch, Pierre, Doyle, D. John, DuCanto, James, Duggan, Laura V., Dutton, Richard P., El-Boghdadly, Kariem, Ellard, Louise, Feinleib, Jessica L., Ferson, David Z., Foley, Lorraine J., Gaitini, Luis, Galgon, Richard E., Gibbs, Michael Alfred, MME, Robert Greif, Grissom, Thomas E., Guzman-Reyes, Sara, Hagberg, Carin A., Hayanga, Heather K., MD, Thomas Heidegger, Higgs, Andy, Hodge, Caleb B., Hung, Orlando, Ibrahim, Haitham, Jagannathan, Narasimhan, Jain, Ranu R., Johnson, Liane B., Kastner, Mark, Jr., Jeffrey P. Keck, Jr., P. Allan Klock, Knight, Joshua B., Kovacs, George, Kristensen, Michael Seltz, Langeron, Olivier, Lee, Sarah A., Lindsay, Helen A., J. Mark, Lynette, Mark, Nathan D., Marshall, Stuart D., Mathew, Reeba, Matioc, Adrian, McClelland, Andrew C., III, Joseph H. McIsaac, McNarry, Alistair F., Mirsky, David M., Mohamed, Basma, Moon, Tiffany Sun, Mort, Thomas C., Mosier, Jarrod M., Nabecker, Sabine, Nagrebetsky, Alexander, Naruse, Robert, Nekhendzy, Vladimir, O’Grady, Kevin F., Ogunnaike, Babatunde, Oh, Matthew W., Olivar, Hernando P., Osborn, Irene P., O’Sullivan, Ellen, Palaniappan, Dhamodaran, Parotto, Matteo, MBBS, Anil Patel, Patel, Bela, Piacentini, Alberto G.G., Poole, Oliver J., Potnuru, Paul, Quinlan, Joseph J., Ramirez-Chapman, Ana Lisa, Roberts, Fiona, Rosenblatt, William H., Ross, Christopher, Roy, Soham, Samet, Ron E., Schiff, Jan-Henrik, Schmitz, Bettina U., Sharar, Sam R., Sharofi, Saimir, Shifteh, Keivan, Soliman, Maged, Sparrow, Kathryn, Sridhar, Srikanth, Steuerwald, Michael Thomas, Straker, Tracey, Subramanya, Sriharsha, Suresh, Maya S., Teoh, Wendy H., Urdaneta, Felipe, Vaida, Sonia, Jr., Manuel C. Vallejo, Vanga, Naveen, Walker, Kathryn K., Walther, Andreas, Warner, Mark T., Wilkinson, David J., Wilson, William C., Wong, David T., Zakowski, Mark, and Zdravkovic, Marko

Published
2023
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33. Contributors

Author

Anderson, Robert J., primary, Balk, Robert A., additional, Barie, Philip S., additional, Barletta, Jeffrey F., additional, Barton, Richard G., additional, Bartter, Thaddeus, additional, Bashour, C. Allen, additional, Beale, Richard, additional, Bekes, Carolyn, additional, Bion, Julian, additional, Bleck, Thomas P., additional, Borunda, Delia, additional, Braithwaite, Susan S., additional, Browne, William T., additional, Buckley, John D., additional, Caironi, Pietro, additional, Carlesso, Eleonora, additional, Caronna, John J., additional, Chansky, Michael, additional, Chaptini, Louis, additional, Cilley, Jonathan H., additional, Cinel, Ismail, additional, Crnich, Christopher J., additional, Curti, Brendan D., additional, Danis, Marion, additional, Dellinger, R. Phillip, additional, Devlin, John W., additional, Dinh, Jack T., additional, Domínguez-Cherit, Guillermo, additional, Dries, David J., additional, Elfant, Adam B., additional, Ely, E. Wesley, additional, Emanuel, Ezekiel, additional, Faridi, Ahmad Bilal, additional, Farmer, J. Christopher, additional, Fraimow, Henry S., additional, Friedman, Yaakov, additional, Garwood, Susan, additional, Gattinoni, Luciano, additional, Gautam, Nandan, additional, Gessman, Lawrence J., additional, Ginsberg, Fredric, additional, Godke, John, additional, Goldman, H. Warren, additional, Groeneveld, A.B.J., additional, Gross, Robin, additional, Gurka, David P., additional, Haddad, Ghada, additional, Haupt, Marilyn T., additional, Hockstein, Michael J., additional, Hollenberg, Steven M., additional, Hudson, Leonard D., additional, Hunninghake, Gary W., additional, Jackson, James, additional, Jamison, C.A., additional, Jean, Smith, additional, Jneid, Hani, additional, Johnson, Robert G., additional, Jubran, Amal, additional, Kanagasundaram, Nigel S., additional, Karam, George, additional, Karam, Joseph A., additional, Karnik, Ankur A., additional, Karnik, Ashok M., additional, Kincaid, M. Sean, additional, Kozak, Osman Samil, additional, Kumar, Anand, additional, Lachant, Neil A., additional, Laghi, Franco, additional, Lapinsky, Stephen E., additional, Lavery, G.G., additional, Longo, Dan L., additional, Lotano, Ramya, additional, Lotano, Vincent E., additional, Luce, John M., additional, Luce, Judith A., additional, Maki, Dennis G., additional, March, Robert J., additional, Maree, Andrew O., additional, Marini, John, additional, Marshall, John C., additional, Masur, Henry, additional, McFadden, Christopher, additional, Metnitz, Philipp G.H., additional, Mirsen, Thomas R., additional, Moreno, Rui P., additional, Murphy, Nick, additional, Murray, Michael J., additional, Nagueh, Sherif F., additional, Niederman, Michael S., additional, Ostrosky-Zeichner, Luis, additional, Ouellette, Daniel R., additional, Ougorets, Igor, additional, Oyen, Lance J., additional, Paganini, Emil P., additional, Palacios, Igor F., additional, Pandharipande, Pratik, additional, Parrillo, Joseph E., additional, Patel, Amish, additional, Peikin, Steven, additional, Peruzzi, William, additional, Peters, Priscilla J., additional, Popovich, John, additional, Posadas-Calleja, Juan Gabriel, additional, Pratter, Melvin R., additional, Rajaram, S. Sujanthy, additional, Reay, Hannah, additional, Reboli, Annette C., additional, Rex, John H., additional, Rhodes, Andrew, additional, Rubin, Lewis J., additional, Rudis, Maria, additional, Safdar, Nasia, additional, Saffle, Jeffrey R., additional, Sahn, Steven A., additional, Schmidt, Gregory A., additional, Sharar, Sam R., additional, Silverman, Henry, additional, Sobek, Sabine, additional, Strange, Charlie, additional, Subramanian, Sanjay, additional, Tang, Wanchun, additional, Taylor, Robert W., additional, Teo, Boon Wee, additional, Tobin, Martin J., additional, Townsend, Sean, additional, Trohman, Richard, additional, Trzeciak, Stephen, additional, Turi, Zoltan G., additional, Turtz, Alan R., additional, Vincent, Jean-Louis, additional, Weil, Max Harry, additional, Weisberg, Lawrence S., additional, Werns, Steven, additional, Wijdicks, Eelco F.M., additional, Zanotti-Cavazzoni, Sergio L., additional, and Zimmerman, Janice L., additional

Published
2008
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39. Burn Pain

Author

Sharar, Sam R., primary, Patterson, David R., additional, and Askay, Shelley Wiechman, additional

Published
2007
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40. Contributors

Author

Abdelhalim, Ahmed N., primary, Abdi, Salahadin, additional, Abrams, Bernard M., additional, Akhouri, Vimal, additional, Alberico, Ronald A., additional, Aldrete, J. Antonio, additional, Andrasik, Frank, additional, Atluri, Sairam, additional, Askay, Shelley Wiechman, additional, Bajwa, Zahid H., additional, Bankston, David P., additional, Baron, Ralf, additional, Barry, Jonathan, additional, Binder, Andreas, additional, Bloodworth, Donna, additional, Bogduk, Nikolai, additional, Borenstein, David, additional, Boswell, Mark V., additional, Bove, Geoffrey, additional, Braiteh, Fadi, additional, Brown, David L., additional, Bruera, Eduardo, additional, Burton, Allen W., additional, Cady, Roger K., additional, Candido, Kenneth D., additional, Carrino, John A., additional, Chiang, Joseph S., additional, Childers, Martin K., additional, Chou, Eric T., additional, Conaghan, Philip G., additional, Correll, Darin J., additional, Cozad, Scott C., additional, Craig, Edward V., additional, Creamer, Paul, additional, Day, Miles R., additional, DeAngelo, Debra A., additional, Diamond, Seymour, additional, Dieppe, Paul, additional, Donohoe, Charles D., additional, Evans, James, additional, Fam, Adel G., additional, Farmer, Kathleen U., additional, Freitag, Frederick G., additional, Garcia, M. Kay, additional, Goodman, Scott, additional, Gordin, Vitaly, additional, Grabois, Martin, additional, Gracey, Douglas R., additional, Greenfield, Mark A., additional, Gupta, Rakesh, additional, Hainline, Brian, additional, Hall, Howard R., additional, Hassenbusch, Samuel J., additional, Hazleman, Brian L., additional, Heavner, James E., additional, Henshaw, D. Ross, additional, Hou, David Dai-Fu, additional, Jain, Subhash, additional, Janata, Jeffrey W., additional, Katz, Joel, additional, Kidd, Bruce L., additional, Kline, Matthew T., additional, Kopacz, Dan J., additional, Koyyalagunta, Dhanalakshmi, additional, Kropp, Lawrence, additional, Landers, Milton H., additional, Lema, Mark J., additional, Levin, Jennifer B., additional, Lovrincevic, Mirjana, additional, Luo, Z. David, additional, Manchikanti, Laxmaiah, additional, Markert, Chad, additional, McGuirk, Brian, additional, Melzack, Ronald, additional, Mendez, Jose L., additional, Meyer, Jeffrey P., additional, Munz, Michael, additional, Myers, David P., additional, Nielsen, Joel A., additional, Nissan, George R., additional, Nguyen, Son Truong, additional, O'Leary, Kathleen A., additional, Overbaugh, Robert H., additional, Pappas, John L., additional, Parris, Winston C.V., additional, Patel, Divya, additional, Patt, Richard B., additional, Patterson, David R., additional, Quave, Brett T., additional, Racz, Gabor B., additional, Raj, P. Prithvi, additional, Ramamurthy, Somayaji, additional, Reeves, K. Dean, additional, Reynolds, Lowell W., additional, Rime, Carla, additional, Rosen, Steven, additional, Rupert, Matthew P., additional, Saberski, Lloyd R., additional, Schattschneider, Jörn, additional, Schrattenholzer, Thomas F., additional, Schreiber, Curtis P., additional, Schultz, David M., additional, Sharar, Sam R., additional, Sills, Shawn M., additional, Sial, Khuram A., additional, Simon, Steven, additional, Simopoulos, Thomas T., additional, Singh, Vijay, additional, Smith-Martin, Kimberley, additional, Solanki, Daneshvari R., additional, Soto-Quijano, David A., additional, Stanton-Hicks, Michael D., additional, Stiles, M. Alan, additional, Supernaw, Robert B., additional, Swenson, Rand S., additional, Thompson, Gale E., additional, Treffer, Kavin D., additional, Trout, Robert, additional, Urban, George, additional, Vladutu, Luminita, additional, Waldman, Howard J., additional, Waldman, Katherine A., additional, Waldman, Steven D., additional, Warfield, Carol A., additional, Whitworth, Michael L., additional, Winnie, Alon P., additional, Wong, Gilbert Y., additional, Yaksh, Tony L., additional, Yarussi, Anthony T., additional, Yin, Way, additional, and Yoon, Michael S., additional

Published
2007
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